Kevin Aho

The embodiment perspective holds that the sensory, cognitive, and motor systems are necessarily intertwined for coherent action–perception behavior. These systems decline with advanced age, altering the embodiment of older adulthood through a reweighting of neural signals based on declines to the body and motor systems (Kuehn et al., Neurosci Biobehav Rev 86:207–225, 2018). Older adults exhibit a characteristic twin-response: (1) decreased weighting of body-action system inputs, and (2) compensatory increases in visual processing and higher-order cognitive processing (Costello and Bloesch, Front Psychol, 8, 2017). This paper recapitulates how aging alters embodiment, and then explores two major paradoxes that result from older adult embodiment. The first is the Body Salience paradox: the more that the body has become explicitly visible to the individual, the less the body has been successfully incorporated into the embodied response. The second is the Exteriority Bias paradox: the less overt physical access older adults have to the world, the more the world will be utilized as an external reference. We resolve these paradoxes by drawing on both experimental findings and phenomenological analyses. We conclude with a broader discussion of how to envision what we call the embodiment equilibrium of older adults, through a joint dialogue of neural network and phenomenological models.

A keen athlete in his late forties, philosophy professor Kevin Aho hadn't given much thought to his own mortality, until he suffered a sudden heart attack that left him fighting for his life. Confronted with death for the first time, he realized that the things he thought gave his life meaning, such as his independence or his ability to plan his own future, were in tatters. Aho turned to those thinkers who have reflected deeply on the meaning of life and the anxiety of living when every heartbeat might be your last: the existentialists. Armed with insights from the likes of Kierkegaard, Heidegger, Nietzsche, and de Beauvoir, he found new meaning and comfort in a view of life that strives for authenticity and accepts aging and death as part of what makes life worthwhile. Existentialism asks us to face the frailty of our existence and to live with a sense of urgency and gratitude toward its manifold beauties. It is only then that we can be released from patterns of self-deception and begin to appreciate what truly matters in our fleeting, precious lives.

In this paper, I draw on Heidegger’s phenomenology of “moods” (_Stimmungen_) to interpret loneliness as a diffused and atmospheric feeling-state that often undergirds the lives of older adults, shaping the ways in which they are attuned to and make sense of the world. I focus specifically on residents in long-term care facilities to show how the social isolation and lockdown measures of the COVID-19 pandemic dramatically intensified the mood. The aim is to shed light on how profound and totalizing the experience has been for residents. Making use of Heidegger’s account of the affective “collapse” or “breakdown” (_Zusammenbruch_) of meaning, I argue that when older adults are functionally locked in their rooms for months at a time and cut off from the orienting routines and rhythms of the relational world, the result is a crumbling of the fundamental meaning-structures that constitute subjectivity. The global sense of abandonment and disconnection strips away the possibility for self-understanding, and residents are often left confused and abandoned to an existence that has been drained of meaning and significance.

This paper offers a phenomenological analysis of Heidegger’s account of “the uncanny” as it relates to the coronavirus pandemic. It explores how the pandemic has disrupted Dasein’s sense of “homelike” familiarity and how this disruption has undermined our ability to be, that is, to understand or make sense of things. By examining our experience of temporality, lived-space, and intersubjectivity, the paper illuminates different ways in which the pandemic has left us confused and anxious about our self-interpretations and future projects. The paper concludes by showing how the uncanny is not simply something we feel in times of crisis; it is, for Heidegger, who we are. This means the secure feeling of familiarity that we embodied prior to the pandemic was an illusion all along, that we are not and never have been at-home in the world.

In her article, “Melancholia, temporal disruption, and the torment of being both unable to live and unable to die,” Emily Hughes offers a provocative and powerful analysis of an experiential aspect of depression that is often overlooked in the psychiatric literature. Drawing on Heidegger’s account of ontological death, what he calls “dying” in Being and Time, Hughes illuminates how episodes of major depression can disrupt the synchronous unity of time that structures our experience and gives meaning to our lives. When this happens, the sufferer enters a paradoxical liminal space, one in which we live through our own death, where death is understood ontologically as an inability-to-be. For Heidegger, “to...

This essay explores the unique temporal experience in anxiety. Drawing on first-person accounts as well as examples from literature, I attempt to show how anxiety not only disrupts our physiological and cognitive timing but also disturbs the embodied rhythms of everyday social life. The primary goal, however, is to articulate the extent to which human existence itself is a temporally structured event and to identity the ways that anxiety disrupts this structure. Using Martin Heidegger’s account of human existence as a point of departure, I show how the mood of anxiety has the power to alter our self-interpretations by closing down or constricting our experience of the future. I argue that a constricted future impedes our ability ‘to be’ because it closes off the range of projective meanings that we would ordinarily draw on to create or fashion our identities.

The rise of medically unexplained conditions like fibromyalgia and chronic fatigue syndrome in the United States looks remarkably similar to the explosion of neurasthenia diagnoses in the late nineteenth century. In this paper, I argue the historical connection between neurasthenia and today’s medically unexplained conditions hinges largely on the uncritical acceptance of naturalism in medicine. I show how this cultural acceptance shapes the way in which we interpret and make sense of nervous distress while, at the same time, neglecting the unique social and historical forces that continue to produce it. I draw on the methods of hermeneutic philosophy to expose the limits of naturalism and forward an account of health and illness that acknowledges the extent to which we are always embedded in contexts of meaning that determine how we experience and understand our suffering.

This essay explores the unique temporal experience in anxiety. Drawing on first-person accounts as well as examples from literature, I attempt to show how anxiety not only disrupts our physiological and cognitive timing but also disturbs the embodied rhythms of everyday social life. The primary goal, however, is to articulate the extent to which human existence itself is a temporally structured event and to identity the ways that anxiety disrupts this structure. Using Martin Heidegger’s account of human existence as a point of departure, I show how the mood of anxiety has the power to alter our self-interpretations by closing down or constricting our experience of the future. I argue that a constricted future impedes our ability ‘to be’ because it closes off the range of projective meanings that we would ordinarily draw on to create or fashion our identities.

Written in a jargon-free way, Body Matters provides a clear and accessible phenomenological critique of core assumptions in mainstream biomedicine and explores ways in which health and illness are experienced and interpreted differently in various socio-historical situations. By drawing on the disciplines of literature, cultural anthropology, sociology, medical history, and philosophy, the authors attempt to dismantle common presuppositions we have about human afflictions and examine how the methods of phenomenology open up new ways to interpret the body and to re-envision therapy.

The instrumental classification of depression made possible by the Diagnostic and Statistical Manual and the widespread pharmacological approach to treatment in mainstream biopsychiatry has generated a cottage industry of criticism. This paper explores the potential shortcomings of the DSM/bio-psychiatric model and introduces the value of philosophical counseling—specifically by means of integrating the insights of Existentialism and Buddhism—as a way to overcome a number of diagnostic and methodological problems. Philosophical counseling, in this regard, is not overly concerned with the objective question of “What we are?” as biophysical beingswith overt behaviors but with a more fundamental question, namely, “How we are?” that is, how do we experience our existence as finite, impermanent beings, how does this experience shape and determine depressive episodes, and how can we come to accept our own finitude and impermanence?

This short essay offers a critical overview of David Nowell Smith's book Sounding/Silence, focusing on, what the author calls, the “ontologization of poetry” as a way to grasp Heidegger's critique of traditional aesthetics and the novel claim that the human body is already implicated in Heidegger's account of language and poetry. To this end, there is a brief discussion of Heidegger's controversial views on the human/animal relation, the connection between poetry and thinking, and the value of Heidegger's poetics for future scholarship in the area.

With the increasingly close relationship between the pharmaceutical industry and the American Psychiatric Association (APA) there has been a growing tendency in the mental health professions to interpret everyday emotional suffering and behavior as a medical condition that can be treated with a particular drug. In this paper, I suggest that hermeneutic phenomenology is uniquely suited to challenge the core assumptions of medicalization by expanding psychiatry's narrow conception of the self as an enclosed, biological individual and recognizing the ways in which our experience of things--including mental illness--is shaped by the socio-historical situation in which we grow. Informed by hermeneutic phenomenology, psychiatry's first priority is to suspend the prejudices that come with being a medical doctor in order to hear what the patient is saying. To this end, psychiatry can begin to understand the patient not as a static, material body with a clearly defined brain dysfunction but as an unfolding, situation existence already involved in an irreducibly complex social world, an involvement that allows the patient to experience, feel, and make sense of their emotional suffering.

Dostoevsky's disturbing and groundbreaking novella appears in this new annotated edition with an Introduction by Charles Guignon and Kevin Aho. An analogue of Guignon's widely praised Introduction to his 1993 edition of "The Grand Inquisitor," the editors' Introduction places the underground man in the context of European modernity, analyzes his inner dynamics in the light of the history of Russian cultural and intellectual life, and suggests compelling reasons for our own strange affinity for this nameless man who boldly declares, "I was rude and took pleasure in being so.”

This paper integrates personal narratives with the methods of phenomenology in order to draw some general conclusions about ‘what it means’ and ‘what it feels like’ to be depressed. The analysis has three parts. First, it explores the ways in which depression disrupts everyday experiences of spatial orientation and motility. This disruption makes it difficult for the person to move and perform basic functional tasks, resulting in a collapse or contraction of the life-world. Second, it illustrates how depression creates a situational atmosphere of emotional indifference that reduces the person’s ability to qualitatively distinguish what matters in his or her life because nothing stands out as significant or important anymore. In this regard, depression is distinct from other feelings because it is not directed towards particular objects or situations but to the world as a whole. Finally, the paper examines how depression diminishes the possibility for ‘self-creation’ or ‘self-making’. Restricted by the illness, depression becomes something of a destiny, preventing the person from being open and free to access a range of alternative self-interpretations, identities, and possible ways of being-in-the-world.

The dominance of the medical-model in American psychiatry over the last 30 years has resulted in the subsequent decline of the “talking cure”. In this paper, we identify a number of problems associated with medicalized psychiatry, focusing primarily on how it conceptualizes the self as a de-contextualized set of symptoms. Drawing on the tradition of hermeneutic phenomenology, we argue that medicalized psychiatry invariably overlooks the fact that our identities, and the meanings and values that matter to us, are created and constituted by our dialogical relations with others. While acknowledging the importance of medical and pharmaceutical interventions, we suggest that it is only by means of the dialogical interplay of the talking cure that the client can both recognize unhealthy and self-defeating ways of being and be opened up to the possibility of new meanings and self-interpretations.